The Medicaid Fraud Control
Unit is within the New Jersey Office of the Insurance Fraud Prosecutor.
The MFCU investigates
- Healthcare Providers who are suspected of defrauding the Medicaid Program
- Fraudulent activities by providers against
the Medicaid program.
in the administration of the program.
- Fraud against other federally
funded health care programs where there is
a Medicaid nexus.
of patient or resident abuse or neglect in
health care facilities receiving Medicaid
funding such as nursing homes. Also those
Medicaid beneficiaries who reside in any other
setting outside their home where care is provided
to them. Abuse and/or neglect means both physical
abuse or neglect and fiscal pertaining to
money or property abuse or neglect.
- Violations of the Civil False Claims Act,
where the alleged fraud impacts Medicaid.
report Medicaid Fraud or Patient
Abuse & Neglect, please complete
the Medicaid Fraud &
Patient Abuse & Neglect Reporting Form or contact us.
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